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Nursing Leadership Scenarios

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In Canada, nursing leaders can be, but are not limited to, chief executives; frontline, middle and senior managers; administrators; professional practice leaders; leaders in regulatory bodies; government officials; and policy makers. Important qualities of effective nursing leaders include being an advocate for quality care, collaborator, articulate communicator, mentor, risk taker, role model and visionary (Canadian Nurses Association [CNA] 2002). This is a challenging era for both nursing and healthcare because of complex issues such as inadequate funding, health human resource shortages and the increasing need for services for our aging population. Effective planning and implementation of advanced practice nursing roles in healthcare settings have the potential to help address these …show more content…
The importance of undertaking a systematic process to assess patient or community needs, develop the advanced practice nursing role to address those needs, and introduce, implement, and evaluate the role was emphasized both in the literature (Bryant-Lukosius et al. 2004, 2007; Dunn and Nicklin 1995; Mitchell et al. 1995) and interviews. Many of our participants highlighted how poor planning for CNS and NP role implementation under tight time pressures, sometimes in response to funding availability, was a barrier to the successful integration of the roles. Furthermore, as the following quote from an administrator illustrates, participants reported that it was a crucial determinant of successful role integration to first identify the service need or practice gap and, based on that assessment, then select the most suitable role for the
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